Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 7166 | MA |
NPI | 1093186983 |
---|---|
Provider Name | Dr. Giovanna M Romero |
First Address | Danvers, MA 01923-1041 |
Second Address | Danvers, MA 01923-1041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2015 |
Last Update Date | 04/05/2016 |